- CDPHP (Albany, NY)
- …who share these values and invites you to be a part of that experience. The Risk Adjustment Claims Analyst will be responsible for identifying, ... aids (charts, graphs) or summaries to assist with explanation of the findings. The Risk Adjustment Claims Analyst will interpret the needs of the… more
- Molina Healthcare (Albany, NY)
- …of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance. ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research,… more
- Amazon (New York, NY)
- …& Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and data analytics. ... ideal candidate will possess an in-depth understanding of insurance claims processes, global cargo regulations, and risk ... risk management in transportation. As a Senior Risk Analyst , you will partner with our… more
- Amazon (New York, NY)
- …Amazon's Global Risk Management and Claims team is seeking a Risk Analyst to assist with the development and management of Amazon's corporate insurance ... management tools and techniques for new and existing business initiatives. Additionally, the Risk Analyst will manage the insurance programs for some Amazon… more
- Amazon (New York, NY)
- …Logistics Claims Management and Operations (LCMO) provides insurance and risk expertise, guidance, and management for Amazon businesses. The 3P Insurance and ... Description Play a leading role in operational global risk improvement at Amazon.com, where we have a...the world in innovative technologies and services. This Business Analyst role will help business leaders make sense of… more
- Molina Healthcare (Albany, NY)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), + Diagnosis Related Groups ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...and manage information from large data sources + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (Albany, NY)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- CenterLight Health System (NY)
- …physician practices on current performance. + Serves as a subject matter expert on Risk Adjustment Data Validation (RADV) audits from Medicare. + Perform random ... Professional Practice Manager (CPPM) 4. Certified Professional Biller (CPB) 5. Certified Risk Adjustment Coder (CRC). Experience: + Three (3) years' experience… more
- Amazon (New York, NY)
- Description Amazon One Medical is hiring a Actuarial Manager Analyst . Actuarial rigor is one of the keys to our success. This candidate will responsible primarily ... reporting and ad-hoc analysis relating to cost of care management -Medicare Risk score projections and premium estimation -Design and implement an actuarially sound… more